Provider Demographics
NPI:1194235085
Name:MCCUE, BARBARA DURNEY (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:DURNEY
Last Name:MCCUE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 WOODSTOWN DARETOWN RD
Mailing Address - Street 2:
Mailing Address - City:PILESGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08098-3345
Mailing Address - Country:US
Mailing Address - Phone:856-769-2141
Mailing Address - Fax:
Practice Address - Street 1:265 WOODSTOWN DARETOWN RD
Practice Address - Street 2:
Practice Address - City:PILESGROVE
Practice Address - State:NJ
Practice Address - Zip Code:08098-3345
Practice Address - Country:US
Practice Address - Phone:856-769-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017428363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health